Derrek Johnson in Nisswa - Chiropractor

Derrek Johnson - NPI 1043393838

Derrek Johnson is a Chiropractor in Nisswa, Minnesota. Derrek Johnson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Derrek Johnson is 1043393838. The last update date is 2007-07-08.

Derrek Johnson's current location address is Po Box 379, Nisswa, Minnesota. You can contact this provider via phone number 2189633311 and fax number 2189633313. The mailing address for Derrek Johnson is Po Box 379, Nisswa, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Derrek Johnson
Address Po Box 379, Nisswa, Minnesota
Phone Number 2189633311
Fax Number 2189633313
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1043393838
Provider Enumeration Date 2006-10-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 379
City Nisswa
State Minnesota (MN)
Post Code 564680379
Phone Number 2189633311
Fax Number 2189633313

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No DC4116
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Derrek Johnson

What is the Derrek Johnson's 1043393838?

The Derrek Johnson's NPI (National Provider Identifier) Number is 1043393838. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Derrek Johnson located?

The Derrek Johnson is located at Po Box 379, Nisswa, MN 564680379.

What is Derrek Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Derrek Johnson's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

When was the Derrek Johnson's 1043393838 issued?

The Derrek Johnson's 1043393838 was issued on 2006-10-23.

When was the Derrek Johnson's information last updated?

The Derrek Johnson's information was last updated on 2007-07-08.

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